Active NPI
Jacob Lonowski, PT, DPT
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1801421284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015491
- Practice address
- 3280 Howell Mill Rd NW Ste 303
Atlanta, GA 30327-4109 - Phone
- (470) 300-6030
- NPI assigned
- Mar 6, 2020
- Last updated
- Aug 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015491 | GA | Primary |
Addresses
Primary practice location
3280 Howell Mill Rd NW Ste 303
Atlanta, GA 30327-4109
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015491 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1801421284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-350-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 HOWELL MILL RD NW STE 303",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303274109",
"telephone_number": "470-300-6030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONOWSKI",
"first_name": "JACOB",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-06",
"last_updated": "2021-08-23",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
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- Austin Macfarland Looney, M.D.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.